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目的了解剖宫产手术部位感染的危险因素,评价目标监测及采取干预措施后的控制效果。方法对2011年8月-2012年2月在本院行剖宫产患者进行手术部位感染的目标性监测。调查分两个监测阶段,第一阶段:评估阶段,主要探讨引起剖宫产手术切口感染的危险因素。第二阶段:干预阶段:根据通过对第一阶段的调查分析,确定将合理使用抗菌药物、手术术野备皮方式、手术后伤口处理作为主要干预策略。结果本次调查共监测878例,手术部位感染10例,感染率为1.14%,干预前后手术部位感染率、备皮方式、术前术后抗菌药物合理使用率,经统计学分析,差异有统计学意义(P均<0.05)。结论对手术部位感染进行目标性监测,并采取有针对性的干预措施,能有效地降低手术部位感染率。
Objective To understand the risk factors for cesarean section infection and to evaluate the effect of target monitoring and intervention after intervention. Methods Objectives To monitor the surgical site infection of cesarean section in our hospital from August 2011 to February 2012. The investigation is divided into two monitoring stages, the first stage: the assessment stage, mainly to explore the risk factors for cesarean section incision infection. The second stage: Intervention stage: According to the investigation and analysis of the first stage, it is determined that rational use of antimicrobial agents, surgical skin preparation and postoperative wound treatment as the main intervention strategies. Results A total of 878 cases were detected and 10 cases were infected at the surgical site. The infection rate was 1.14%. The infection rate of the surgical site before and after the intervention, the skin preparation method and the rational use of antimicrobial agents before and after surgery were statistically analyzed. Significance (P <0.05). Conclusions Objective Surveillance of surgical site infection and targeted interventions can effectively reduce the infection rate of surgical site.